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Technology Use/Management - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Technology Use/Management:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions for Employees Participating in the 360-Feedback Assessment:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to receive feedback from a group of others. As part of this process, you will need to complete a self-assessment questionnaire at this time. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences over the last 12 months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be combined with the responses received from others and a report will be generated for you to foster growth and on-going development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses, and will be not making any changes, click the Complete button.

Competencies Included:
Technology Use/Management, Interpersonal Skills, Adaptability, Action, Continual Learning, Leadership, Managing Performance, Achievement, Negotiation
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team
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Technology Use/Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You use technology in decision making and problem solving.
  1. You understand and are committed to implementing new technologies.
  1. You identify gaps between actual and needed technical competencies and provide recommendations for required training.
  1. You maximize the use of new technology to deliver products and services.
  1. You support employee training and development initiatives regarding implementation of technology.
If you were to make improvements in Technology Use/Management, what are your suggestions for how you can improve this?

Interpersonal Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I offer constructive criticism to have a positive impact on performance.
  1. You understand the core issues of conversations.
  1. You are honest about owning up to mistakes made.
  1. I take time to recognize the efforts of others.
  1. You are easily approachable.
If you were to make improvements in Interpersonal Skills, what are your suggestions for how you can improve this?

Adaptability

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are able to respond to incidents without stopping the workflow.
  1. You adjust strategy when new information is presented.
  1. You can handle unexpected events without a loss of productivity.
  1. You can adjust plans and procedures.
  1. You adapt to diversity within the team.
If you were to make improvements in Adaptability, what are your suggestions for how you can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You adapt your approach in order to overcome significant obstacles.
  1. You work across organizational lines and boundaries to attain goals.
  1. I am proactive in developing solutions to problems.
  1. I focus on tasks without being distracted.
  1. I do not procrastinate when there is a job to be done.
If you were to make improvements in Action, what are your suggestions for how you can improve this?

Continual Learning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You set relevant learning objectives and goals.
  1. You take charge of your training and skills enhancement.
  1. You build on your strengths while addressing your weaknesses.
  1. You are open to new ideas and concepts.
  1. You pursue self-improvement through continual learning.
If you were to make improvements in Continual Learning, what are your suggestions for how you can improve this?

Leadership

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are a highly effective supervisor.
  1. You lead team to set goals, solve problems, and accomplish tasks.
  1. You take ownership and accountability for results
  1. You are able to influence others.
  1. You set specific, measurable, and challenging goals.
If you were to make improvements in Leadership, what are your suggestions for how you can improve this?

Managing Performance

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You align individual and team goals with the organization's goals and objectives.
  1. I recognize people who provide outstanding leadership in planning, organizing.
  1. I make sure employees understand what is expected of them.
  1. You set long and short term goals.
  1. I administer the performance rewards program in a fair and equitable manner.
If you were to make improvements in Managing Performance, what are your suggestions for how you can improve this?

Achievement

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are determined to complete tasks regardless of obstacles that may occur.
  1. I take calculated risks to achieve difficult goals.
  1. You establish Specific Measurable Achievable Realistic and Timed (SMART) goals.
  1. You are driven to complete goals despite obstacles that may arise.
  1. You complete work promptly and efficiently.
If you were to make improvements in Achievement, what are your suggestions for how you can improve this?

Negotiation

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I control emotional responses to maintain a productive atmosphere.
  1. I am a proficient conflict resolver who effectively navigates workplace disputes to maintain a harmonious and productive environment.
  1. You are flexible in responses.
  1. I establish a strong, cooperative atmosphere; defines expectations; and presents a well-structured agenda aligned with key priorities.
  1. You understand the motivations of the other party.
If you were to make improvements in Negotiation, what are your suggestions for how you can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.